中医健康干预对社区慢性乙型肝炎患者生存质量的效果评价  

Evaluation on the effectiveness of traditional Chinese medicine health intervention on the quality of life of community patients with chronic hepatitis B

作　　者：王远萍[1] 傅益飞 奚磊[1] 徐红梅[1] 朱渭萍[1] 

机构地区：[1]上海市浦东新区疾病预防控制中心,传染病监测预警中国疾病预防控制中心重点实验室研究基地,上海200136

出　　处：《实用预防医学》2016年第1期54-56,共3页Practical Preventive Medicine

基　　金：上海市浦东新区卫生系统重点学科项目(编号:PWZx2014-14)

摘　　要：目的探讨中医健康干预对社区慢性乙型肝炎患者的生存质量影响。方法以2012年经浦东新区病毒性肝炎定点医院诊断为慢性乙型肝炎的250例患者为研究对象,随机分为中医干预组和对照组各125例。对照组给予基础社区管理,干预组在基础社区管理上予为期1年的中医健康干预,用慢性肝炎患者生命质量测定量表(QLICD-CH)对两组患者干预前后的生存质量进行调查。结果干预组经干预后在躯体功能、心理功能、特异模块和生存质量总分上的得分别为32.78分、47.66分、124.53分和244.44分,均高于干预前的30.89分、45.73分、120.51分和236.39分,差异均有统计学意义(P<0.05),而对照组干预前后生存质量总分和各维度得分差异均无统计学意义(P>0.05)。结论中医健康干预在提高社区慢性乙型肝炎患者的生存质量方面有着积极作用。Objective To explore the effect of traditional Chinese medicine health intervention on the quality of life of commu-nity patients with chronic hepatitis B. Methods Two hundred and fifty patients with chronic hepatitis B who were diagnosedby designated hospitals for viral hepatitis served as the research subjects and were randomly divided into traditional Chinesemedicine intervention group and the control group （each n = 125）. The control group was given basic community management,while the intervention group received 1 - year health intervention regarding traditional Chinese medicine based on the communitymanagement. Quality of Life Instrument for Chronic Disease- Chronic Hepatitis （QLICD- CH） scale was employed to investi-gate the quality of life of patients in the two groups before and after the intervention. Results After the intervention, thescores concerning physical function, psychological function, specific module and total score of quality of life in the interventiongroup were all higher than those before the intervention （32.78 vs. 30.89, 47.66 vs. 45.73, 124.53 vs. 120.51, 244.44vs. 236.39）, with statistically significant differences （P 〈 0.05）. But no statistically significant difference was found in the totalscore of quality of life and the scores in reference to each dimension in the control group before and after the intervention （ P 〉0.05）. Conclusion Traditional Chinese medicine health intervention plays a positive role in improving the quality of life ofcommunity patients with chronic hepatitis B.

关 键 词：慢性乙型肝炎 中医 干预 生存质量 

分 类 号：R512.62[医药卫生—内科学]